92 / 99
Chronic Disease Compliance and Utilization
POSITIVE
UTILIZATION
(MEMBER PAID)
POSITIVE
UTILIZATION
(PLAN PAID)
ALL CLAIMS
MEMBER PAID
ALL CLAIMS
PLAN PAID
MEASURED
MEMBERS
MEDICAL
COMPLIANCE
STANDARD OF
CARE
CONDITION
As of Date: April 2017
$184
$876
$13,894
$68,552
6
80.57 %
American
Diabetic
Association
Diabetes Type I
$184
$876
$13,894
$68,552
6
80.57 %
Physician Desk
Reference
Diabetes Type I
$184
$876
$13,894
$68,552
6
80.57 %
Up To Date
Diabetes Type I
$1,784
$4,350
$39,736
$114,807
30
74.46 %
American
Diabetic
Association
Diabetes Type II
$1,784
$4,338
$39,736
$114,807
30
74.46 %
Physicians Desk
Reference
Diabetes Type II
$1,784
$4,338
$39,736
$114,807
30
74.46 %
Up To Date
Diabetes Type II
$323
$1,599
$16,149
$202,035
12
58.33 %
Epocrates Online
Fibromyalgia
$319
$1,536
$16,149
$202,035
12
33.33 %
Merck Manual
Fibromyalgia
$385
$1,850
$16,149
$202,035
12
45.00 %
Up To Date
Fibromyalgia
$1,979
$5,170
$70,285
$333,131
60
87.50 %
Multi-Standard
Hyperlipidemia
$1,979
$5,170
$70,285
$333,131
60
87.50 %
Up To Date
Hyperlipidemia
$3,940
$9,821
$84,965
$439,763
56
63.57 %
National Heart,
Lung and Blood
Institute
Hypertension
$3,569
$9,524
$84,965
$439,763
56
75.89 %
Physicians Desk
Reference
Hypertension
$3,590
$8,882
$84,965
$439,763
56
69.42 %
Up To Date
Hypertension
$1,082
$3,657
$49,779
$334,407
42
52.38 %
American
Academy of
Orthopaedic
Surgeons
Lower Back Pain
$1,548
$7,460
$49,779
$334,407
42
59.52 %
Annals of Internal
Medicine
Lower Back Pain
$1,548
$7,460
$49,779
$334,407
42
59.52 %
Journal Watch
Lower Back Pain
$1,051
$3,537
$49,779
$334,407
42
48.81 %
Merck Manual
Lower Back Pain
$1,670
$8,299
$49,779
$334,407
42
51.90 %
National Institute
of Health
Lower Back Pain
$1,548
$7,460
$49,779
$334,407
42
59.52 %
Up To Date
Lower Back Pain
$30
$132
$3,763
$18,856
1
100.00 %
Journal of the
American College
of Cardiology
Myocardial
Infarction
Aftercare
$30
$120
$3,763
$18,856
1
99.99 %
National
Guideline
Clearinghouse
Myocardial
Infarction
Aftercare
$30
$138
$3,763
$18,856
1
100.00 %
Up To Date
Myocardial
Infarction
Aftercare
$663
$2,070
$25,790
$144,190
19
43.86 %
Merck Manual
Neck Pain
$21
$185
$25,790
$144,190
19
5.26 %
National
Guideline
Clearinghouse
Neck Pain
Page 25 of 28
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